| Shruthy Jacob, | |
|
1300 Memorial Dr, Denison, TX 75020-2037 | |
| (903) 465-7442 | |
| Not Available |
| Full Name | Shruthy Jacob |
|---|---|
| Gender | Female |
| Speciality | Qualified Speech Language Pathologist |
| Experience | 6 Years |
| Location | 1300 Memorial Dr, Denison, Texas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992274179 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Legacy Healthcare Services Inc | 2163339722 | 3341 |
| Provider Name | Legacy Healthcare Services Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1871132357 PECOS PAC ID: 2163339722 Enrollment ID: O20170201001261 |
| Mailing Address | Practice Location Address |
|---|---|
| Shruthy Jacob, 416 Benwick Way, Lewisville, TX 75056-5596 Ph: (972) 410-0021 | Shruthy Jacob, 1300 Memorial Dr, Denison, TX 75020-2037 Ph: (903) 465-7442 |
Angela D Taylor, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2300 W Morton St Ste 114, Denison, TX 75020 Phone: 903-462-4085 Fax: 903-465-5533 | |
Kim Ladon Lambert, MSCCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2409 W Walker St, Denison, TX 75020 Phone: 903-821-2808 Fax: 903-463-2568 | |
Mori Michelle Kobow, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2300 W Morton St Ste 114, Denison, TX 75020 Phone: 903-462-4085 Fax: 903-465-5533 | |
Mrs. Judy Poe, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1300 Memorial Dr, Denison, TX 75020 Phone: 903-327-8997 | |
Charli Chae Mellott, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2300 W Morton St Ste 114, Denison, TX 75020 Phone: 903-462-4085 Fax: 903-465-5533 | |
Kathryn Gomez, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2300 W Morton St Ste 114, Denison, TX 75020 Phone: 903-462-4085 Fax: 903-465-5533 | |
Ms. Kelly D Nicholson, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2300 W Morton St Ste 114, Denison, TX 75020 Phone: 903-462-4085 Fax: 903-465-5533 |